MICHAEL BROCK

BOSTON, MA
NPI1740351121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MA  107584)
Enumeration Date2006-11-10
Last Update Date2007-07-09
Business Address
MICHAEL BROCK LICSW
7 HAVILAND ST
BOSTON, MA 02115-2683
Phone number: 617-267-0900
Mailing Address
MICHAEL BROCK LICSW
7 HAVILAND ST
BOSTON, MA 02115-2683
Phone number: 617-267-0900